Editorial: Guidewire Trauma: A Key Component of Post‐ERCP Pancreatitis That Is Best Controlled by the Endoscopist. (December 2016) - Srinivasan, Indu
Abstract : Abstract: : Recent studies have revealed that deep pancreatic duct wire passage, even in the absence of contrast injection, is a major technique‐related culprit in post‐ERCP pancreatitis, unless followed by placement of a pancreatic stent. As guidewire cannulation becomes increasingly widespread, precise control of the guidewire is thus critical. The first randomized trial to compare endoscopist‐controlled wire guided vs. assistant‐controlled bile duct cannulation has shown a significant reduction in post ERCP pancreatitis when the physician manipulates the wire. Though there is no single universal solution to post‐ERCP pancreatitis, careful attention to wire contol is emerging as an important aspect of safety in ERCP.